Richard Lee Wilde, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Cleburne, TX

NPI

1952559197

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

208464 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-08-29

Last updated

2008-08-29